IMG+207 in step1+research experience do I still have hope? - USMLE Forums
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  #1  
Old 05-15-2014
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Listening IMG+207 in step1+research experience do I still have hope?

I am an IMG that graduated in 2007.
I just received my score for step 1 and I'm not happy at all. I was aiming 230 but instead got 207. My Uworld scores were around 75-80%.
I can't do anything now. I have this score, plus a failed attempt in 2008. In addition I have a MS in Microbiology and Molecular Biology here in U.S. with 2 publications and one more coming with 3 years of research experience. My thesis work had received 2 awards from my college. I'm aiming for FM or Pediatrics.
I need an honest opinion, I don't want to waste my time and take CK and CS if I don't have possibilities to get into residency.
If you think I can continue what else I need to improve/add so I can have an opportunity.
Any opinion and suggestion is welcome.
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  #2  
Old 05-20-2014
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Quote:
Originally Posted by HopeIMG View Post
I am an IMG that graduated in 2007.
I just received my score for step 1 and I'm not happy at all. I was aiming 230 but instead got 207. My Uworld scores were around 75-80%.
I can't do anything now. I have this score, plus a failed attempt in 2008. In addition I have a MS in Microbiology and Molecular Biology here in U.S. with 2 publications and one more coming with 3 years of research experience. My thesis work had received 2 awards from my college. I'm aiming for FM or Pediatrics.
I need an honest opinion, I don't want to waste my time and take CK and CS if I don't have possibilities to get into residency.
If you think I can continue what else I need to improve/add so I can have an opportunity.
Any opinion and suggestion is welcome.
Yes it is,. Specially in a none competitive field,. Your only problem is not that score,. It's the 2nd attempt
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  #3  
Old 05-20-2014
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It's hard to say for sure what your chances are. I can point you to some data that might help you to think about going ahead or not. Also know from the data that if you are a US citizen or have permanent residency, this will increase your chance more. You can look at the report yourself here.

For FM,

US citizen/PR IMG:
2 attempts at USMLE Step 1 => 83 matched, 183 not matched
Score 201-210 => 145 matched, 132 did not

non-US citizen/PR IMG:
2 attempts at USMLE Step 1 => 29 matched, 113 did not
Score 201-210 => 63 matched, 136 did not

What the data doesn't tell you is what a score of 207 with 2 attempts means for your chances. I would imagine that the chances are lower, but it's hard to say for sure by how much.

You can do the same process with peds, looking at data.

So you're right. Nothing you can do now about your score, and nothing you can do about your year of graduation. So what else can you do if you want to go forward?
-research/publication can be a strength, especially at academic programs, so that's a plus.
-a general advice would be to think about how you can get good clinical experience to show that you can perform well as a resident. Being research heavy without evidence of good clinical skills may not be advantageous. I've got some other suggestions from NRMP data and my personal experience in this article. This covers many things including the importance of good LORs and personal statement.
-do really well in your CK. Pass both CK and CS the first time.
-try to make connections with people, especially if you're in an academic setting already. Connections can be a huge plus.
-do think about a plan B. There was a nice webinar about "what to do if you don't match" and alternative careers for IMGs (link to my website). I summarized this in 2 articles on my website.

I know that this must be a difficult decision to make (to continue with the Steps or to stop now). I'd really just suggest trying to look realistically at the data and making your decision with a clear mind. Some people can let go of the US residency "dream" fairly easily and envision a nice alternate career. Others just really have to give it a go, even if the chance of failure is high. Ultimately I would think that knowing what is important to you will guide your decision making.

Good luck.
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  #4  
Old 05-20-2014
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Thank you steps to residency and abdo2014.
I spoke with some people involved in the field that have experience in cases like mine. After all that, they suggested me to take ck and cs. Of course a high competitive residency program isn't a possibility for me anymore but primary care still is. I need to focus in pass this time with a better score in ck and get clinical experience, thank God there are people that honestly try to help you. Another plus according to steps to residency is that I'm an american citizen.
It is difficult to say what is going to happen, but I'll try my best and see what happen. I'll post in the future again to tell you my experience.
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